Organization Active NPI

A Bliss Care, Inc.

Doing business as A Blisss Hospice Care

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1548529423
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
014779 Issued in TX
Legal business name
A BLISS CARE, INC.
Doing business as
A Blisss Hospice Care
Practice address
138 E Ridgewood CT
San Antonio, TX 78212-2340
Phone
(210) 887-2775
Fax
(210) 468-0713
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Avelina Brennan, CPP
Title
Ceo
Phone
(210) 887-2775

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 014779 TX Primary
Nursing Care Agency 251J00000X 014779 TX
In Home Supportive Care Agency 253Z00000X 014779 TX

Addresses

Primary practice location

138 E Ridgewood CT
San Antonio, TX 78212-2340

Mailing address

4007 McCullough Ave
Suite No. 259
San Antonio, TX 78212-2420
Phone (210) 887-2775

Other names 1

  • A Blisss Hospice Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140328000985 TX Part A Provider - Hospice 5496900854 Practice locations: San Antonio, TX

Hospice certification: CCN 741562

Legal name
A BLISS CARE, INC.
Doing business as
A BLISS HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 3, 2015
Last certification
Feb 4, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 28, 2011 in TX
Enrollment address
140E Ridgewood CT
San Antonio, TX 78212-2340

Care Compare: Hospice

Medicare Care Compare
Listed as
A Bliss Hospice CareCCN 741562 · All quality measures
Ownership
For-Profit
Certified
May 3, 2015
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2052432A Bliss Care, Inc138 E Ridgewood CT, San Antonio, TX 78212Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Avelina Mercado Individual 5% Or Greater Direct Ownership InterestCeo Jun 28, 2011 90%
W-2 Managing Employee Dec 1, 2011
Jeremias M Abueme Individual Contracted Managing EmployeeHospice Medical Director Nov 1, 2012
Corporate DirectorHospice Medical Director Nov 1, 2012
Ramon Mercado Individual 5% Or Greater Direct Ownership Interest Jan 1, 2012 10%
W-2 Managing EmployeeAlternate Administrator Jan 22, 2024 10%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1548529423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 MCCULLOUGH AVE",
            "address_2": "SUITE NO. 259",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122420",
            "telephone_number": "210-887-2775",
            "fax_number": "210-468-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E RIDGEWOOD CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122340",
            "telephone_number": "210-887-2775",
            "fax_number": "210-468-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BLISS CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "AVELINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-887-2775",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "014779",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "014779",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "014779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Blisss Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.